Document Detail


Associated balancing surgical treatments of hemifacial microsomia.
MedLine Citation:
PMID:  20856036     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To explore a novel approach, associated balancing surgical treatments of the first and second branchial arch syndrome and to supply an array of practical, efficacious, and relatively shorter course of treatments for clinics.
METHODS: For microtia with severe ipsilateral facial dysplasia with the first and second branchial arch syndrome, auricular reconstruction using traditional methods by autologous cartilage framework and filling of the malar region and the mandible with an autologous rib for the ipsilateral zygomatic arch and the mandibular bone were begun to correct ear and jaw deformities. The second stage is turning over the auricular flap and skin graft with autologous fat transplantation to reshape facial contours.
RESULTS: Six patients were followed up for 3 to 9 months postoperatively. All of them showed satisfactory surgical results with no adverse effects. The shape of the reconstructed auricle and the affected hemifacial region improved greatly. Good stereopsis with symmetry was observed on the whole. The implanted rib and the cartilage frameworks were not deformed, absorbed, or exposed. Transplanted fat particles were observed with no infection, scleroma, subcutaneous mass, cyst, or other complications.
CONCLUSIONS: This method is well designed and easy to perform. The satisfactory effects and few known complications make it one of the most effective treatments of the first and second branchial arch syndrome.
Authors:
Xi Wang; Jun Chen; Yuguang Zhang; Qun Yang
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  21     ISSN:  1536-3732     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1456-9     Citation Subset:  D    
Affiliation:
Division of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
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